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目的探讨患者焦虑情绪对牙周基础治疗疗效的影响。方法选取患有中重度牙周炎伴有焦虑情绪的患者30例(焦虑组)和患有中重度牙周炎不伴有焦虑情绪的患者30例(对照组),进行牙周基础治疗。分别在治疗前、治疗后3个月让两组患者都填写焦虑自评量表(self-rating anxiety scale,SAS),并记录SAS分值。同时记录两组治疗前及治疗后3个月牙周临床指数:探诊深度(probing depth,PD)、探诊出血指数(bleeding index,BI)、附着丧失(attachment loss,AL)、菌斑指数(plaque index,PI)以及两组治疗前后PD、BI、AL、PI的变化值。结果对照组和焦虑组在牙周基础治疗后3个月,与治疗前相比,PD(3.13±0.57,3.92±0.45)、BI(1.42±0.22,1.83±0.13)和AL(3.27±0.74,5.16±0.87)都有显著降低,差异有统计学意义(P<0.01),P(I1.12±0.18,1.47±0.23)也有显著降低(P<0.05)。对照组和焦虑组治疗前后的PD、BI、AL的变化值,PD(-3.99±0.23,-2.95±0.12)、B(I-2.01±0.10,-1.57±0.23)、AL(-4.02±0.04,-2.06±0.11)两组间差异有统计学意义(P<0.01)。结论焦虑情绪可能对中重度牙周炎患者的牙周基础治疗效果(治疗前后的PD、BI、AL的变化值)产生负面影响。因此,在中重度牙周炎治疗时应更多关注患者的心理健康状况,对具有焦虑情绪的患者进行必要的心理干预,可能会促进牙周治疗效果的明显提高。
Objective To investigate the effect of anxiety in patients with periodontal treatment. Methods Thirty patients (anxiety group) with moderate to severe periodontitis with anxiety and 30 patients with moderate to severe periodontitis without anxiety (control group) were selected for periodontal basic treatment. Patients in both groups were given self-rating anxiety scale (SAS) before treatment and at 3 months after treatment, and SAS scores were recorded. At the same time, the clinical parameters of two groups were recorded before treatment and 3 months after treatment: probing depth (PD), bleeding index (BI), attachment loss (AL), plaque index (plaque index, PI) and the changes of PD, BI, AL, PI in two groups before and after treatment. Results In the control group and anxiety group, the PD (3.13 ± 0.57, 3.92 ± 0.45), BI (1.42 ± 0.22, 1.83 ± 0.13) and AL (3.27 ± 0.74, 5.16 ± 0.87), the difference was statistically significant (P <0.01), P (I1.12 ± 0.18,1.47 ± 0.23) also significantly decreased (P <0.05). The changes of PD, BI and AL in the control group and the anxiety group before and after treatment were respectively as follows: PD (-3.99 ± 0.23, -2.95 ± 0.12), B (I-2.01 ± 0.10, -1.57 ± 0.23), AL , -2.06 ± 0.11), there was significant difference between the two groups (P <0.01). Conclusions Anxiety may have a negative effect on the basic periodontal treatment of patients with moderate or severe periodontitis (changes of PD, BI and AL before and after treatment). Therefore, in the treatment of moderate and severe periodontitis should pay more attention to the patient’s mental health status, anxiety patients with the necessary psychological intervention may promote the effect of periodontal treatment significantly improved.